| Neuro Thrive Pc | |
|
10472 Wellington Manor Ave Las Vegas NV 89129-4514 | |
| (301) 385-1784 | |
| Not Available |
| Full Name | Neuro Thrive Pc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10472 Wellington Manor Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Evan Fakhreddine (DIRECTOR) |
| Authorized Official Contact | 3013851784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Thrive Pc 10472 Wellington Manor Ave Las Vegas NV 89129-4514 Ph: (301) 385-1784 | Neuro Thrive Pc 10472 Wellington Manor Ave Las Vegas NV 89129-4514 Ph: (301) 385-1784 |
| NPI Number | 1013605880 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013605880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
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